Active NPI
Michael J Luttrell, LICENSED PSYCHOLOGIS
- Cognitive & Behavioral Psychologist
- Marshalltown, IA
National Provider Identifier
1396719209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- License
- 00420
- Practice address
- 9 N 4TH Ave
Marshalltown, IA 50158-1836 - Phone
- (641) 752-1585
- Fax
- (641) 752-9665
- NPI assigned
- Feb 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | 00420 | IA | Primary |
Addresses
Primary practice location
9 N 4TH Ave
Marshalltown, IA 50158-1836
Mailing address
508 Brentwood Rd
Marshalltown, IA 50158-3726
Phone (641) 752-0125
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0058230 | Medicaid | IA | |
| 05823 | Other | IA | BCBS |
| 037093 | Other | IA | HEALTH ALLIANCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00420 | IA | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center Associates | Cognitive & Behavioral | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Cognitive & Behavioral Psychologist
- Marshalltown, IA
- NPI 1942251160
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1396719209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "508 BRENTWOOD RD",
"city": "MARSHALLTOWN",
"state": "IA",
"postal_code": "501583726",
"telephone_number": "641-752-0125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 N 4TH AVE",
"city": "MARSHALLTOWN",
"state": "IA",
"postal_code": "501581836",
"telephone_number": "641-752-1585",
"fax_number": "641-752-9665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUTTRELL",
"first_name": "MICHAEL",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "LICENSED PSYCHOLOGIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-15",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "IA",
"license": "00420",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0058230",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "05823",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE",
"identifier": "037093",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Marshalltown, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.